Physician
Dr.Babu Pediatrics P.C.
Dr.Babu Pediatrics P.C. was paid $3.01M by Medicaid between Jan 2018 and Sep 2023, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoDR.BABU PEDIATRICS P.C.
WORCESTER, MA 01604
WORCESTER, MA 01604
33aNPI1770794596assigned 05/24/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$3.01M
24GClaims95,591
24DCodes billed38
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts
Rank by total paid#2 of 54
Median peer was paid$119K
This provider vs. median25×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,807 | $618K | |
| 2019 | 19,793 | $672K | |
| 2020 | 17,225 | $576K | |
| 2021 | 16,515 | $528K | |
| 2022 | 14,904 | $478K | |
| 2023 | 7,347 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 14,619 | 13,605 | $924K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 3,637 | 3,635 | $308K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 3,567 | 3,567 | $296K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.2% | 2,768 | 2,767 | $247K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 11,908 | 11,818 | $239K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 2,226 | 2,218 | $189K |
| 99173 | 5.6% | 8,394 | 8,383 | $167K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.0% | 14,536 | 14,317 | $149K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.5% | 14,426 | 14,382 | $136K |
| 92583 | 3.5% | 2,598 | 2,592 | $104K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,269 | 1,247 | $54K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.8% | 590 | 546 | $53K |
26 more codes
| 92551 | 1.7% | 5,401 | $50K | |
| 90461 | <1% | 4,656 | $28K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,724 | $21K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 144 | $15K |
| 92567 | <1% | 585 | $7K | |
| 92587 | <1% | 375 | $5K | |
| 99381 | <1% | 53 | $5K | |
| 96127 | <1% | 564 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 128 | $2K |
| 99442 | <1% | 41 | $853.21 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $442.50 |
| 99441 | <1% | 30 | $323.10 | |
| 86580 | <1% | 41 | $261.58 | |
| 90698 | 0% | 218 | $0.00 | |
| 90651 | 0% | 98 | $0.00 | |
| 90680 | 0% | 182 | $0.00 | |
| 90686 | 0% | 137 | $0.00 | |
| 90744 | 0% | 87 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90688 | 0% | 47 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 90633 | 0% | 98 | $0.00 | |
| 90670 | 0% | 292 | $0.00 | |
| 90734 | 0% | 38 | $0.00 | |
| 90685 | 0% | 32 | $0.00 | |
| 90715 | 0% | 29 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHARIBABU, MUDDANA (PRESIDENT)